Despite HHS’ efforts to reduce the backlog of appeals at the Administrative Law Judge (ALJ) level, the average processing time for appeals has continued to grow. But now, providers caught up in — or contemplating entering — the massive backlog of appeals have several reasons to jump for joy.

Certain providers who treat patients with end-stage renal disease (ESRD) will soon be clear of telehealth billing restrictions and eligible to provide video-based encounters to patients at their homes, as well as other sites of service.

Question: If Medicare beneficiary enrolled in a skilled nursing facility (SNF) under Part A goes to see a practice physician in her office and the doctor performs E/M and an X-ray, orders a lab test and prescribes a drug, how would each of these services be billed by that physician’s office?

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